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Jakiann Marie Mork, ANP-BC
Adult Health Nurse Practitioner in Wyoming, Minnesota
NPI 1184855587

Jakiann Marie Mork is an Adult Health Nurse Practitioner based in Columbia Heights, MN and is specialized in Adult Health. Jakiann Marie Mork practices in Wyoming, MN and has the professional credentials of ANP-BC. The NPI Number for Jakiann Marie Mork is 1184855587 and holds a License No. R103401-7 (Minnesota).

The current practice location address for Jakiann Marie Mork is 5200 Fairview Blvd, Wyoming, MN and can be reached out via phone at 651-982-7893.

Location: 5200 Fairview Blvd, Wyoming, MN, 55421-3321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184855587
Provider Name
Jakiann Marie Mork
Credential
ANP-BC
Provider Entity Type
Individual
Gender
Female
Address
5200 Fairview Blvd, Wyoming, MN, 55421-3321
Phone Number
651-982-7893
Fax Number
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5200 Fairview Blvd
City
Wyoming
State
Minnesota
Zip
55092-8013
Phone Number
651-982-7893
Fax Number
person
Provider Business Mailing Address Details
Address
5200 Fairview Blvd
City
Wyoming
State
Minnesota
Zip
55092-8013
Phone Number
651-982-7893
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
R103401-7 (Minnesota)
Definition
Definition to come...
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